Tension pneumomediastinum: A literal form of chest tightness | Zendy

David J. Clancy | Zendy; Stuart Lane | Zendy; Peter Flynn | Zendy; Ian Seppelt | Zendy

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Tension pneumomediastinum: A literal form of chest tightness

Author(s) -

David J. Clancy,

Stuart Lane,

Peter Flynn,

Ian Seppelt

Publication year - 2016

Publication title -

journal of the intensive care society

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.551

H-Index - 14

eISSN - 2057-360X

pISSN - 1751-1437

DOI - 10.1177/1751143716662665

Subject(s) - pneumomediastinum , medicine , mediastinum , pneumonia , mechanical ventilation , respiratory distress , acute respiratory distress , complication , intensive care medicine , surgery , anesthesia , lung

Tension pneumomediastinum is a rare and life-threatening complication of mediastinal emphysema which can occur with mechanical ventilation. We present a case of tension mediastinum associated with mechanical ventilation in a patient with Acute Respiratory Distress Syndrome due to Pneumocystis jirovecii pneumonia. We discuss the mechanism and pathophysiology of tension pneumomediastinum, the potential association with Pneumocystis jirovecii pneumonia and recruitment manouvres, and its definitive emergency treatment.

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